Individual
GISELLE PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2045 MAIN ST, WAILUKU, HI 96793-1648
(808) 283-4047
Mailing address
644 MEAKANU LN APT 1903, WAILUKU, HI 96793-2945
(808) 283-4047
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4474
HI
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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